| NPI | 1114977428 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-10 |
| Last Updated | 2016-10-05 |
| Authorized Official | Brian Baker Executive Director Phone: 3304934443 |
| Mailing Address | 12479 Telecom Dr Tampa, FL 33637-0913 United States Phone: (330) 493-4443 | Fax: (813) 972-5753 📍 View Map |
| Primary Practice Address | 3100 E Fletcher Ave Tampa, FL 33613-4613 United States Phone: (330) 493-4443 | Fax: (813) 615-7590 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 262772800 | — |
| MEDICAID | FL | 262772801 | — |
| MEDICAID | FL | 262772803 | — |
| MEDICAID | FL | 262772804 | — |
| Other (non-Medicare) | FL | 45981 | BCBS of Florida |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207P00000X – Emergency Medicine | — | — |
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About NPI 1114977428
Tampa Bay Emergency Physicians Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114977428. The primary specialty listed is Emergency Medicine. The organization is located in Tampa, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114977428?
NPI 1114977428 belongs to Tampa Bay Emergency Physicians Llc, a Emergency Medicine in Tampa, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114977428 active?
The current status of NPI 1114977428 in the NPPES registry is Active. The record was last updated on 2016-10-05.
What specialty is NPI 1114977428?
NPI 1114977428 is classified under the taxonomy Emergency Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114977428?
You can verify NPI 1114977428 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114977428?
The primary practice address on file for NPI 1114977428 is 3100 E Fletcher Ave, Tampa, FL 33613-4613. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114977428 issued?
NPI 1114977428 was first issued (enumerated) on 2006-05-10. The NPPES record was last updated on 2016-10-05.
Practice Location Map
Tampa Bay Emergency Physicians Llc is located at 3100 E Fletcher Ave, Tampa, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tampa Bay Emergency Physicians Llc. All records sourced from the CMS NPPES registry.